| NPI | 1083078703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC001775) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024176619) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6282) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2020-02-12 |