| NPI | 1194931741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 75307) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 132393) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2011-04-11 |