| NPI | 1760507610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 240346) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 12378) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2011-09-13 |