| NPI | 1699721340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 73101) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 19867.736) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2009-01-20 |