| NPI | 1770926354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C002992) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R81363) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR CTP-000238) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2018-09-12 |