| NPI | 1518059393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 100638) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 7692) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-06-04 |