| NPI | 1992118327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R191803) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R191803) |
| 163W00000X Registered Nurse (Licence: NY 670291) | |
| 163W00000X Registered Nurse (Licence: CT 098977) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-09-14 |