| NPI | 1508852682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK R0070384) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 019026) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2007-07-08 |