| NPI | 1215936422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APN2884) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 199996) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2013-04-15 |