| NPI | 1275931826 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1476)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 1027042)  | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172322)  | |
| Enumeration Date | 2014-12-15 | 
| Last Update Date | 2018-07-31 |