| NPI | 1639161805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0024073729) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024073729) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2015-03-30 |