| NPI | 1952367443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D105565) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO RN133574) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2010-09-29 |