| NPI | 1093751836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024165007) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 442685-1) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2016-06-03 |