| NPI | 1508805276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA3721) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2002011443) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55458) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3721) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-01-13 |