| NPI | 1922492529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 642249-1) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 200284) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-11-13 |