| NPI | 1184975054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1084) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 257010) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2024-03-21 |