| NPI | 1154553501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN104056) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN-104056-AP05841) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2010-08-03 |