| NPI | 1982848636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0718) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: HI RN-55183) |
| 163W00000X Registered Nurse (Licence: AZ RN115957) | |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2018-09-11 |