| NPI | 1265539738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D068816) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 63502) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2018-06-11 |