| NPI | 1194901058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C002958) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 0085276) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2015-11-30 |