| NPI | 1972550804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA36010) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA CRNA1587) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-01-23 |