| NPI | 1407853070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R138391) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD R138391) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-02-28 |