| NPI | 1396742284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3393) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD R148323) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2010-07-15 |