| NPI | 1003850025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL ARNP9191301) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9191301) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2017-05-09 |