| NPI | 1669494498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 2804752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 2804752) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-08-13 |