| NPI | 1255315370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP618852) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 274573) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2007-12-14 |