| NPI | 1285629121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024000024) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 001128954) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2013-01-30 |