| NPI | 1518347202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 108821) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 236844) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-11-03 |