| NPI | 1114133121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 2615) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 005002905) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2017-04-07 |