| NPI | 1467795401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 229079) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 17387) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |