| NPI | 1588651343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 028742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN228512) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2012-09-06 |