| NPI | 1629402524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18826) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 249648) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2014-06-12 |