| NPI | 1215976444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN238405) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 10958) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2014-06-24 |