| NPI | 1508827817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168557) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 2264) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 587291) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2012-05-30 |