| NPI | 1487955944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 4631) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 096404) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2011-03-30 |