| NPI | 1649681784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP07892) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN1222724) |
| 163W00000X Registered Nurse (Licence: LA RN122724) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2016-10-31 |