| NPI | 1215929666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024155859) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC000314) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA R082271) | |
| Enumeration Date | 2005-08-21 |
| Last Update Date | 2017-10-26 |