| NPI | 1649335910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 154996) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 154996) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2021-02-12 |