| NPI | 1154369080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-026601) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA R111181) |
| 163W00000X Registered Nurse (Licence: AL 1-026601) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN111181) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-08-21 |