| NPI | 1205882990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 133299) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 073616) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-02-15 |