| NPI | 1184619942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024102984) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001102984) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2019-01-07 |