| NPI | 1164518726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000203) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD R022214) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-02-15 |