| NPI | 1659737864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR R089816) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003125) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2019-12-10 |