| NPI | 1174850853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 284949) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 124040) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2016-10-11 |