| NPI | 1124101753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2277299) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 01902) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-07-24 |