| NPI | 1700996154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 31324) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 091701) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-07-22 |