| NPI | 1790802957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D083529) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 269) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2009-09-09 |