| NPI | 1881676534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D061074) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA 061074) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 045177) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2010-02-08 |