| NPI | 1184691149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2303484) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704230163) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.14067-NA) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2016-03-03 |