| NPI | 1770814709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001187410) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-06-02 |