| NPI | 1295120467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101308) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 62978) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2022-08-03 |