| NPI | 1104178227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2837) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 577105) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 108999) | |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2023-07-17 |