| NPI | 1366883175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 123988) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 109026) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2015-04-23 |