| NPI | 1568615680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 005193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 540799) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2013-01-25 |