| NPI | 1063880516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 89088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 089088) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-30 |