| NPI | 1184747545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3009766) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 104064) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2025-01-21 |