| NPI | 1316977101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 077810034175) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 077810) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-06-21 |