| NPI | 1912070202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 032753) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 124223) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2012-03-08 |