| NPI | 1053558718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 80429) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19177) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2022-01-12 |