| NPI | 1497797971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 49409) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: WI 49409) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2016-04-11 |