| NPI | 1104983394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 163767) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30004532) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024169062) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-02-06 |