| NPI | 1144509902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 88179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0203924) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2014-07-30 |