| NPI | 1275814030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP07320) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 614098-1) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2017-11-02 |