| NPI | 1215486444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901448) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 111055) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2018-10-02 |