| NPI | 1316192420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 13955) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-53790) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3015412) | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2023-07-19 |