| NPI | 1174639884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 200360034CRNA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 98000468RN) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-18 |