| NPI | 1609138585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 91106) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 224009) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2015-04-29 |