| NPI | 1376940247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172345) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 1026687) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2015-04-03 |