| NPI | 1265421234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 274) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 00070282) |
| 163W00000X Registered Nurse (Licence: OH 109966) | |
| 163W00000X Registered Nurse (Licence: AK 24446) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2009-08-05 |