| NPI | 1295131308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN191583) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19540) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2015-11-12 |