| NPI | 1093032492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD 193062) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9264304) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2014-04-17 |