| NPI | 1578648663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 68590) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 17998) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-05-19 |