| NPI | 1134351265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2282119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 573900) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2013-01-17 |