| NPI | 1104861830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 35900) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 59137) |
| 163W00000X Registered Nurse (Licence: NC 249855) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2016-12-09 |