| NPI | 1295731917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN154095) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 84532) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2011-06-28 |