| NPI | 1255853560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024175110) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD 112287) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-08-09 |