| NPI | 1770743361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 113819) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 082581) |
| 163W00000X Registered Nurse (Licence: CA 727063) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2014-09-15 |