| NPI | 1811962012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN124206-APO5665) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP1369052) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2011-03-08 |