| NPI | 1275948556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1080) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 137477) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-12-16 |