| NPI | 1043368384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C02647) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 687882) |
| 164W00000X Licensed Practical Nurse (Licence: AR R78158) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-08-16 |