| NPI | 1265492219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3148) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 00105295) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2014-05-28 |