| NPI | 1336307826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN168346) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA PENDING) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |