| NPI | 1700839925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 151472) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3347) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 673821) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 862717) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 09307) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-10-14 |