| NPI | 1336246362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17902) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 114488) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-05-31 |