| NPI | 1538438981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP06743) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 100596) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2021-04-30 |