| NPI | 1043595523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 88182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 219544) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2016-10-06 |