| NPI | 1699291021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9469923) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PR 38433) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 697518) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2018-12-09 |