| NPI | 1528088374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 2741) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC CRNA62283) |
| 163W00000X Registered Nurse (Licence: SC 2741) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-09-13 |