| NPI | 1972540995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CT 000939) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT R36893) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-09-13 |