| NPI | 1063497261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 136954) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 136954) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2017-08-22 |