| NPI | 1528172020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 26030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 209434) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 052840) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-04-28 |