| NPI | 1326214776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000700) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D119374) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2018-12-03 |