| NPI | 1144234592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 1649) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 046283) |
| 163W00000X Registered Nurse (Licence: NC 111671) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2021-04-13 |