| NPI | 1568858579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 106619) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 226279) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-09-11 |