| NPI | 1316904386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 216175) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 530773) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2023-02-02 |