| NPI | 1164467478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT E36027) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 000262) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2009-03-11 |