| NPI | 1477669513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA 074139) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 113814) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2009-10-17 |