| NPI | 1568454874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN143702) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 470426417) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209005472) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2019-03-28 |