| NPI | 1518935253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4082) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 804478) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2016-09-12 |