| NPI | 1487069852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 104659) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 236826) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-11-11 |