| NPI | 1790755783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R188919) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 050609) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: DC RN1018355) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R120483-4) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2010-09-28 |