| NPI | 1003109539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 087397) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 199242) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2017-04-18 |