| NPI | 1134447543 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 082535) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 004308) | 
| Enumeration Date | 2010-05-10 | 
| Last Update Date | 2019-06-27 |