| NPI | 1417191859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PR 72658) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 072658) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2016-12-21 |