| NPI | 1376694877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 76606) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R166703) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD r166703) | |
| 163W00000X Registered Nurse (Licence: NY 22542662) | |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2020-10-28 |