| NPI | 1093808677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 003058) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI 28222) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 197033) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |