| NPI | 1528362803 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN115321-AP06337)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN115321)  | 
| Enumeration Date | 2010-12-31 | 
| Last Update Date | 2011-01-07 |