| NPI | 1487015913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101339) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NE 6843) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2020-01-29 |