| NPI | 1366704983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 91097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 214319) |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2017-12-01 |