| NPI | 1851491807 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 0040897) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OK 0040897) | 
| 207L00000X Anesthesiology (Licence: OK 40897) | |
| Enumeration Date | 2006-09-22 | 
| Last Update Date | 2020-11-02 |