| NPI | 1447224902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 186805) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 054329) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2021-05-11 |