| NPI | 1578573861 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024077726) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001077726) | 
| Enumeration Date | 2006-08-09 | 
| Last Update Date | 2013-10-07 |