| NPI | 1083636948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 041574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 132172) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2019-07-12 |