| NPI | 1508914789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0273) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM R48447) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2013-10-01 |