| NPI | 1235198946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 214181) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 606910) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2018-09-26 |