| NPI | 1780622696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 825621) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 003388) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2017-03-13 |