| NPI | 1083972749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 5007) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 005007) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2021-01-24 |