| NPI | 1649217365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 052169) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54177) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2009-12-21 |