| NPI | 1588898910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901389) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 14524) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2019-07-22 |