| NPI | 1346256518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA3060) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 240985) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-08-05 |