| NPI | 1407187503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-126019) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 083405) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2011-09-14 |