| NPI | 1326252933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 050562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 82268-030) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2014-11-18 |