| NPI | 1326155128 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC SCAPN987)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC AANA22356)  | 
| Enumeration Date | 2006-08-25 | 
| Last Update Date | 2007-10-25 |