| NPI | 1104064377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 93190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 93190) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2022-02-15 |