| NPI | 1619193885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 685465) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 538450-1) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-09 |