| NPI | 1487870283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C00862) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R27750) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-10-18 |