| NPI | 1205865417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN052170) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA R052170) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2014-04-03 |