| NPI | 1467584870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024167491) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 69654) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2018-03-17 |