| NPI | 1386199982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN616927) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE l1-0044487) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2017-03-28 |