| NPI | 1053361980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA-390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID RNA390) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-10-12 |