| NPI | 1518334598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20735) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 647400) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2017-04-17 |