| NPI | 1578550646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1035379) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 1-035379) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2011-03-21 |