| NPI | 1518213610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0129035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 327918) |
| 163W00000X Registered Nurse (Licence: NY 638343-1) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 638343) | |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2019-04-02 |