| NPI | 1396837183 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L60A00455)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L1-0033374)  | 
| 367H00000X Anesthesiologist Assistant (Licence: DE L60A00455)  | |
| Enumeration Date | 2006-09-29 | 
| Last Update Date | 2015-06-08 |