| NPI | 1912055302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024058884) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 114808) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 029576) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-11-13 |