| NPI | 1033166228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177489) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 138080) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 075338) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-11-07 |