| NPI | 1841288040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C00494) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R015393) |
| 164W00000X Licensed Practical Nurse (Licence: AR P000113) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2014-10-24 |