| NPI | 1265466817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9447997) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 102699) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-11-13 |