| NPI | 1346682903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 092648) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 225344) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2016-09-23 |