| NPI | 1093369993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 132973) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 567359) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |