| NPI | 1710937263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 19238) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 170832) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-12-02 |