| NPI | 1376885616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 343221349) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R034715) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2014-10-20 |