| NPI | 1104877430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 1896672) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28162578A) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 5227A) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-04-14 |