| NPI | 1982691697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C001309) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R043232) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2015-06-17 |