| NPI | 1801849625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN041635-AP12621) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1109231) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-03-22 |