| NPI | 1356821003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 118949) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 253487) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2019-07-18 |