| NPI | 1962734491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168655) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 084104) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2018-03-17 |