| NPI | 1205229184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN194355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN639160) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2019-05-22 |