| NPI | 1124124987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 53069) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C00939) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2016-06-24 |