| NPI | 1639572647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 039078-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 039078-21) |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2015-05-11 |