| NPI | 1396926960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 0074241) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: CT E60610) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2012-05-01 |