| NPI | 1316233752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 2179552) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 643856) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2013-07-15 |