| NPI | 1396074381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 81091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R 0081091) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R 0081091) | |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2020-01-30 |