| NPI | 1770764870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R127273) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: MD R127273) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD 20010086) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2011-04-29 |