| NPI | 1164739314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003086) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R098465) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2020-03-30 |