| NPI | 1063449627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 103320) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 103320) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-02-22 |