| NPI | 1912304064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 204424) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2015-03-11 |