| NPI | 1154303972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3350) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 115460) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2012-10-25 |