| NPI | 1760442735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001171436) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024166008) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-09 |