| NPI | 1467719682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 89987) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 221589) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2016-04-22 |