| NPI | 1619082245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DC RN48155) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 119768) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-12-28 |