| NPI | 1770691727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 154) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 34447) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-12-16 |