| NPI | 1194907543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT APRN-100960) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 087174) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2020-08-21 |