| NPI | 1851481865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP04975) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R871081) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2014-12-23 |