| NPI | 1538139704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR R84434) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 162882) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2010-05-26 |