| NPI | 1659641173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 877799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R877799) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-133775) | |
| 163W00000X Registered Nurse (Licence: AL 1-133775) | |
| Enumeration Date | 2012-01-01 |
| Last Update Date | 2017-01-10 |