| NPI | 1396026266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D156873) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 155228) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2020-01-24 |