| NPI | 1184608044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 136009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 136009) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2017-05-12 |