| NPI | 1013252014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 258608) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 258608) |
| 163W00000X Registered Nurse (Licence: FL 9247222) | |
| Enumeration Date | 2012-12-01 |
| Last Update Date | 2013-02-10 |