| NPI | 1407929771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1462) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 48340) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.09620-NA) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-12-28 |