| NPI | 1093018863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024169256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001222626) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2015-03-24 |