| NPI | 1831182609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024114656) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: VA 0001114656) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2012-11-09 |