| NPI | 1487891586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3801) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 081253) |
| Enumeration Date | 2009-01-11 |
| Last Update Date | 2021-11-30 |