| NPI | 1033392378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 078476) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 90754) |
| 163W00000X Registered Nurse (Licence: GA RN182568) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2008-10-22 |