| NPI | 1770539736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ID N8122) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA4) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |