| NPI | 1861787970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L60A00622) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: DE L60A00622,L100378339) |
| 367H00000X Anesthesiologist Assistant (Licence: DE L100378339) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2015-08-07 |