| NPI | 1194930107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201600496CRNA) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 079026) |
| 163W00000X Registered Nurse (Licence: NY 551128-1) | |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2016-08-26 |