| NPI | 1821187782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 049963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 105296) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: HI 049963) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-07-21 |