| NPI | 1962587261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 22708) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 48732) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-07-02 |