| NPI | 1609131671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 91079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 208583) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2022-04-30 |