| NPI | 1861735730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000824) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD R036715) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-05-16 |