| NPI | 1750628236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R203924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 591319) |
| 163W00000X Registered Nurse (Licence: MD R203924) | |
| 163W00000X Registered Nurse (Licence: SC 109335) | |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-22 |