| NPI | 1033164454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ID N32023) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA552) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |