| NPI | 1891086534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024173618) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 660504) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4087) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2018-03-17 |