| NPI | 1124036272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP2974812) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL arnp2974812) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2013-10-24 |