| NPI | 1710264478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17689) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 78227) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2012-06-01 |