| NPI | 1720057227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 161852) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 30633) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2008-02-15 |