| NPI | 1669725891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9358100) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PR 1795) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2013-07-17 |