| NPI | 1679520118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 158160) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DC 041974) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2008-04-20 |