| NPI | 1467612945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 79204) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 221877) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2014-12-18 |