| NPI | 1962944009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21068) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 217912) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2017-06-16 |