| NPI | 1770720591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 080028) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E61283) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2012-02-12 |