| NPI | 1104138593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR c003235) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 187826) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2019-03-06 |