| NPI | 1538455837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R185864) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: NY 642863-1) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2018-09-05 |