| NPI | 1205933959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 100911) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 16701) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2019-05-14 |