| NPI | 1184997603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PR 78371) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 1690) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2016-12-21 |