| NPI | 1801842521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 14860) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3397) |
| 163W00000X Registered Nurse (Licence: CA 351987) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2014-12-21 |