| NPI | 1649697772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18717) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |