| NPI | 1538164397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 00032) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 000332) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2007-09-27 |