| NPI | 1467404954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 85369-030) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 176408) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-04-29 |