| NPI | 1922480516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 103488) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 103488) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2016-07-01 |