| NPI | 1447379060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 50742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 120815-030) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2019-08-22 |