| NPI | 1497714646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D064621) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 123902) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-02-21 |