| NPI | 1609839463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000953) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NE 66586) |
| 282NC0060X General Acute Care Hospital, Critical Access (Licence: NE 100997) | |
| 363L00000X Nurse Practitioner (Licence: NE 100997) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 100997) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2018-07-16 |