| NPI | 1063714723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201260007CRNA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200941111RN) |
| 163W00000X Registered Nurse (Licence: MT 35408) | |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2016-04-26 |