| NPI | 1295717908 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 0211) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD R121674) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ RN089320) | |
| Enumeration Date | 2005-11-17 | 
| Last Update Date | 2020-10-05 |