| NPI | 1518952217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 1-0131870) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1107899) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2007-07-08 |