| NPI | 1578672150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28182698A) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 051170) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2015-02-18 |