| NPI | 1265437032 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ crna0375) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 2425) | 
| Enumeration Date | 2005-06-16 | 
| Last Update Date | 2016-04-04 |