| NPI | 1700182045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA 60279429) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 639329) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2012-05-10 |