| NPI | 1790825610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 047768) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 104237) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2019-12-02 |