| NPI | 1932201381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001240680) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 100817) |
| 163W00000X Registered Nurse (Licence: NE 60729) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2015-03-30 |