| NPI | 1265443790 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024132643)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001132643)  | 
| Enumeration Date | 2006-08-10 | 
| Last Update Date | 2014-07-22 |