| NPI | 1356336036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000128) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD R013964) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2010-12-23 |