| NPI | 1114946688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 487393) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 487393) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ME R053337) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-04-03 |