| NPI | 1447245733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024166978) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 8789) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2015-04-03 |