| NPI | 1720470388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 74405) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-06-05 |