| NPI | 1134497407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20505) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 651509) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2015-12-01 |