| NPI | 1629079850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R22797) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C00339) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |