| NPI | 1962635623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 83022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 175515) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2014-12-23 |