| NPI | 1366712473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 877440) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 002725) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2020-08-11 |