| NPI | 1073742094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 20106004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 096007653rn) |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2021-08-13 |