| NPI | 1235190778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 46267) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 115157) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024166512) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2018-11-29 |