| NPI | 1528491073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 93680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 127925) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2020-10-28 |