| NPI | 1275829582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 5108-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 157073-30) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2019-07-24 |