| NPI | 1669655122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 516134-1) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 105-033) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2017-01-24 |