| NPI | 1134421134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 85709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 151240) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2013-01-02 |