| NPI | 1245273564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R191149) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 498953) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-04-07 |