| NPI | 1124383062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 91082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 165894) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2016-12-07 |