| NPI | 1174954226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2212) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 570996) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2018-07-11 |