| NPI | 1477874709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101132) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA 124602) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2023-02-23 |