| NPI | 1477921823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 108767) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 200478) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2016-04-01 |