| NPI | 1902078249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 21864) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0024167692) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2018-03-19 |