| NPI | 1205163896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN652628) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN141405) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168917) | |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2013-12-09 |