| NPI | 1194058024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 083031) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 166766) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2011-02-23 |