| NPI | 1700074440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 72323) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 026133) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2009-02-09 |