| NPI | 1932249059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101-0026256) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 1010026256) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2010-07-27 |