| NPI | 1194124529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 6444) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000175) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 815906) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2018-02-27 |