| NPI | 1316224603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0864) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 619236) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2018-08-09 |