| NPI | 1275860751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95000110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN557002) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168856) | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2015-05-05 |