| NPI | 1629355029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 4941) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 181181) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2012-02-16 |