| NPI | 1710970678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN028489 AP01018) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R735711) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-07-08 |