| NPI | 1174933238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D136611) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD SD-CRN CR000840) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |