| NPI | 1316136286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL ARNP9350767) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN566498) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2012-11-16 |