| NPI | 1740542752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 224880) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2018-01-02 |