| NPI | 1760431001 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0070) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV 0066) | 
| Enumeration Date | 2006-05-05 | 
| Last Update Date | 2007-12-06 |