| NPI | 1659502276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3970) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 082037) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2022-01-27 |