| NPI | 1538462205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0992622) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R179083) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2017-01-18 |