| NPI | 1619177417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN060776 AP03891) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN060776 AP03891) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |