| NPI | 1144568908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 593010) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000275) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA 60459721) | |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2022-02-11 |