| NPI | 1750589834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN056074) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI RNA36642) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 183356) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2016-11-09 |