| NPI | 1104334804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 120522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 80348) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-03-26 |