| NPI | 1265674402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN161397 CRNA) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS TMP141143) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2012-06-14 |