| NPI | 1629219944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0645) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 165541) |
| 163W00000X Registered Nurse (Licence: AZ RN160242) | |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2018-09-06 |