| NPI | 1407173057 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00600)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN590407)  | 
| Enumeration Date | 2010-04-22 | 
| Last Update Date | 2015-05-12 |