| NPI | 1093083867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R187703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD r187703) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2020-01-10 |