| NPI | 1417958018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 108171) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 365701) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2009-04-17 |