| NPI | 1588690655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 43180) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 94973) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2021-12-02 |