| NPI | 1285075010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201360040CRNA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201341218RN) |
| 163W00000X Registered Nurse (Licence: NE 66482) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2016-05-11 |