| NPI | 1003855677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28260820A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001156742) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2021-01-28 |