| NPI | 1679687107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 072187) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 158444) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2010-07-15 |