| NPI | 1962672089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 80864) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 080864) |
| 163W00000X Registered Nurse (Licence: NC 235374) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2010-08-10 |