| NPI | 1639282213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR OR 200660018CRNA) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM R25669) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |