| NPI | 1548506223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 5262) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 079478) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2014-10-27 |