| NPI | 1740613215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001220203) |
| 163W00000X Registered Nurse (Licence: OH 388481) | |
| 163W00000X Registered Nurse (Licence: MI 4704297425) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2014-08-10 |