| NPI | 1689765117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3163) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 254463) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2017-04-20 |