| NPI | 1376935932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101313) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 64831) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2019-12-11 |