| NPI | 1164792685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2290827) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 686508) |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2014-03-14 |