| NPI | 1871781997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R863555) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 903101) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2020-08-10 |