| NPI | 1154406445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 049452) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 3995) |
| 163W00000X Registered Nurse (Licence: NC 128180) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2022-04-25 |