| NPI | 1871532077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024092725) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 3080802) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-12 |