| NPI | 1770973554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 19605A) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 106710) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2016-12-07 |