| NPI | 1780059857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024173217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001207247) |
| 163W00000X Registered Nurse (Licence: FL RN9347597) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2016-01-24 |