| NPI | 1417224270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2206) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 4778-033) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2018-06-27 |