| NPI | 1306898275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 487914) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 167353) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-06-02 |