| NPI | 1710935374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 218585) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 085007) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-11-02 |