| NPI | 1740281211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1635) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0024155330) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2017-01-14 |