| NPI | 1598747578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 110497) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2009-01-20 |