| NPI | 1205864931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-100649) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 177937) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |