| NPI | 1659621100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0902) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R031699) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2013-07-22 |