| NPI | 1104852755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN086149) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA R086149) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2014-04-04 |