| NPI | 1215203070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 230383) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 090067) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2016-05-31 |