| NPI | 1790937225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9334630) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 91712) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2012-02-10 |