| NPI | 1194049908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 084700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001227095) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2014-02-05 |