| NPI | 1710211065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19238) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 082311) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2022-01-20 |