| NPI | 1215937420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024166059) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0024166059) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2011-06-20 |