| NPI | 1598041055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 397) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 33483) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 14) | |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2012-10-30 |