| NPI | 1477517928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1325) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 70300) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-09-08 |