| NPI | 1669413746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024158114) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 050003-23-11) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-11-02 |