| NPI | 1164474409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 100736) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000797) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-09-23 |