| NPI | 1508212655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 29114) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0200323) |
| Enumeration Date | 2016-05-08 |
| Last Update Date | 2021-06-14 |