| NPI | 1790141471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-153463) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 885861) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2019-04-29 |