| NPI | 1346397346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3095) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 68180) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-04-25 |