| NPI | 1174712285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA rn159445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN159445) |
| 163W00000X Registered Nurse (Licence: SC R91530) | |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2011-01-11 |