| NPI | 1710971908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 128948) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C01016) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000010072) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2016-02-12 |