| NPI | 1255718128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 6117) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 125771) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2018-01-03 |