| NPI | 1730317405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101209) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IA 122488) |
| 163W00000X Registered Nurse (Licence: NE 60492) | |
| 363L00000X Nurse Practitioner (Licence: NE 111082) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2013-03-29 |