| NPI | 1053845685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC T111492) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 112258) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2018-07-26 |