| NPI | 1487768925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2297799) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA r147393) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-12-20 |