| NPI | 1710229885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201803789CRNA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9316957) |
| 163W00000X Registered Nurse (Licence: OR 096007395RN) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2018-07-11 |