| NPI | 1891006664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 069050) |
| 367H00000X Anesthesiologist Assistant (Licence: CT 004458) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2014-09-02 |