| NPI | 1306945100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 1788) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 111033) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 049757) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2021-05-20 |