| NPI | 1225422967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN589576) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-07-31 |