| NPI | 1912016882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55625) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN109107) |
| 163W00000X Registered Nurse (Licence: PA RN306469L) | |
| 163W00000X Registered Nurse (Licence: NC 187465) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-06-19 |