| NPI | 1346249810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024166056) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA RN-0001188030) |
| 207L00000X Anesthesiology (Licence: VA CRNA 0024166056) | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2013-03-01 |