| NPI | 1699168047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20527) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 73721) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D139761) | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2017-01-14 |