| NPI | 1093085706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 87818) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 075812) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |