| NPI | 1114163110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024169276) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200840578RN) |
| Enumeration Date | 2008-12-21 |
| Last Update Date | 2011-03-14 |