| NPI | 1609804947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18877A) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 101476) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-09-09 |