| NPI | 1699921072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 80527) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 179472) |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2019-07-12 |