| NPI | 1972860344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17885) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 236151) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-07-17 |