| NPI | 1275599029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 4093) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 923) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2016-02-25 |