| NPI | 1730232372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 1080) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV crna800100) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2015-02-27 |