| NPI | 1003054586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3758) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 289363) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2024-04-29 |