| NPI | 1457322901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177944) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR12124300) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2019-09-03 |