| NPI | 1861495608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R130545) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 002934) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2019-10-20 |