| NPI | 1295171460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 188649) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 100956) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2014-01-27 |