| NPI | 1225306632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9265564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9265564) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2012-02-22 |