| NPI | 1003112533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL W630509805540) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL rn9275749) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2016-09-20 |