| NPI | 1679586713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 21120) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 201943) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 054868) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2017-01-03 |