| NPI | 1518966654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001181392) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024165650) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-07-08 |