| NPI | 1164456547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 131705) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 131705) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-10-08 |