| NPI | 1023073012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 31935) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO SRA-100010) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R759483) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2022-09-09 |