| NPI | 1558552257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN118405) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 215756) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2015-04-17 |