| NPI | 1255577557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 6032) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SPO10073) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2014-10-13 |