| NPI | 1366546095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18517) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 190941) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2017-03-15 |