| NPI | 1740550557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 057786-23) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 12.004904) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2015-08-12 |