| NPI | 1982034906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 093243) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 076531) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2017-03-02 |