| NPI | 1043632482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP07859) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R094859) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003004) | |
| Enumeration Date | 2014-01-18 |
| Last Update Date | 2014-09-29 |