| NPI | 1144581380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 90093) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R870831) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 17012) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2019-03-18 |