| NPI | 1679917975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101216) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 66011) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2015-04-24 |