| NPI | 1235130683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN108979CRNA) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2003030993) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 191370/058559) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 1345206101/55167) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-08 |