| NPI | 1194092361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024170652) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD 27190) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2017-01-18 |