| NPI | 1063520005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 45453) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 993) |
| 163W00000X Registered Nurse (Licence: NY 360053-1) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-10-28 |