| NPI | 1487638912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 048086) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 405796) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-08-13 |