| NPI | 1407815814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 668) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 31708) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-01-08 |