| NPI | 1235191941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 11056) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2002009396) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001229574) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2015-11-23 |