| NPI | 1144542903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN184227) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4131) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2018-11-19 |