| NPI | 1922479195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 6684-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 167904-30) |
| 363L00000X Nurse Practitioner (Licence: WI 6684-33) | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2018-02-26 |