| NPI | 1508863325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC000200) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD R150538) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-04-23 |