| NPI | 1629005871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 044030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN117658) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2009-08-05 |