| NPI | 1376972935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 093248) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 065563) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2016-01-26 |