| NPI | 1194761106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1091722) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR R26522) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |