| NPI | 1255667341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 071556) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 081707-23) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2020-01-08 |