| NPI | 1700335528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1349) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN137636) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-11-03 |