| NPI | 1255563722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000726) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CRNA) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2013-01-03 |