| NPI | 1619046331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 40458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 86815) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-08-28 |