| NPI | 1093077729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 90211) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 90211) |
| 163W00000X Registered Nurse (Licence: FL rn9282290) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2019-08-01 |