| NPI | 1104889146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 22973) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 110003) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2018-09-18 |