| NPI | 1336417674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024174019) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD R191348) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2020-07-06 |