| NPI | 1215359658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003006) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R078727) |
| Enumeration Date | 2014-01-18 |
| Last Update Date | 2015-06-12 |