| NPI | 1851637300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 237701) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20960) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2017-06-29 |