| NPI | 1710973805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 1-082976) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1082976) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2007-07-08 |