| NPI | 1972999704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000883) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R038359) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2018-07-24 |