| NPI | 1467447409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D052608) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 044381) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-11-27 |