| NPI | 1508105503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21785) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: SC 108429) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 92808) | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2020-04-28 |