| NPI | 1326398843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201500781CRNA) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 200841359RN) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2018-07-10 |