| NPI | 1336457639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 85591) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 276173) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2015-07-10 |