| NPI | 1902050776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 19169) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C02710) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2016-10-20 |