| NPI | 1265478242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 153940-030) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 136848) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2009-02-26 |