| NPI | 1134486541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 078823) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 005006) |
| 363L00000X Nurse Practitioner (Licence: CT 005006) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-07-02 |