| NPI | 1649493842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA3121) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 539752) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2013-01-15 |