| NPI | 1962703751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 85143) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 76578) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2015-01-15 |