| NPI | 1356456826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 270053 #2517) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 1201062) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2014-02-03 |