| NPI | 1578712113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5569) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 80088) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2020-10-01 |