| NPI | 1215441241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 7404) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CT 94677) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2018-03-17 |