| NPI | 1972567220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-068814) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 046466) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2015-06-18 |