| NPI | 1700012705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 082171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 159162) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2019-12-19 |