| NPI | 1427053578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN680220) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024164256) |
| 163W00000X Registered Nurse (Licence: VA 0001104679) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2019-11-06 |