| NPI | 1609926393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 250370) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 1379022122) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2018-04-23 |