| NPI | 1255721601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19246) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS A810702) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-07-06 |