| NPI | 1639475213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 98146) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2012-01-24 |