| NPI | 1003125006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN176907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN176907) |
| 163W00000X Registered Nurse (Licence: TN 164297) | |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2012-04-27 |