| NPI | 1558551663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 1689) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC RN 128359) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC AANA 077459) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2021-08-09 |