| NPI | 1285938563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN624890) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 085688) |
| Enumeration Date | 2010-12-31 |
| Last Update Date | 2012-02-10 |