| NPI | 1427008176 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA-582) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N27623) | 
| Enumeration Date | 2006-05-12 | 
| Last Update Date | 2011-11-01 |