| NPI | 1457686834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 97591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 613166) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CA 613166) | |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2015-04-20 |