| NPI | 1568848646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 108806) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 209299) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-11-03 |