| NPI | 1558364026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3006737) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 3212972) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 176038) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-003784) | |
| 163W00000X Registered Nurse (Licence: IL 041-281137) | |
| 163W00000X Registered Nurse (Licence: NY 513594-1) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 152518) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2015-01-07 |