| NPI | 1093128092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN271459) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R173895) |
| 163W00000X Registered Nurse (Licence: PA RN625720) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2017-10-12 |