| NPI | 1104163476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-138609) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 17092) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-08-14 |