| NPI | 1255313474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ANT9236729) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN042240) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP01439) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-08-29 |