| NPI | 1083643183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0024786) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK R0024786) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2016-10-24 |