| NPI | 1356580328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C02752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R34315) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2012-02-10 |