| NPI | 1790798825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 11004) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 18168) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |