| NPI | 1902072036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD r141065) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MD r141065) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2018-08-17 |