| NPI | 1366510448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2010034566) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2001004539) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-10-24 |