| NPI | 1699095133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2014023492) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 084565) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 14-128491) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2014-09-23 |