| NPI | 1487635660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4805A) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 659361) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN507948L) | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2007-07-08 |