| NPI | 1124102090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 0002-01071) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 201071) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-05-07 |