| NPI | 1245347202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101472) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D109725) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-05-02 |