| NPI | 1407226749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 109893) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1020191) |
| 163W00000X Registered Nurse (Licence: VA 0001226040) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2016-03-14 |