| NPI | 1558340216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APN 1541) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 050712) |
| 163W00000X Registered Nurse (Licence: NC 230679) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2014-09-15 |