| NPI | 1720143357 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9306448) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DC RN963625) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R151774) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024164753) | |
| Enumeration Date | 2006-12-26 | 
| Last Update Date | 2014-03-07 |