| NPI | 1114299849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R198126) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD AC000990) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2024-11-14 |