| NPI | 1821375874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1112) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001226891) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2018-09-20 |