| NPI | 1811229545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-111155) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 083989) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2016-11-07 |