| NPI | 1700170909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 87497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 203880) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2018-08-21 |