| NPI | 1801139761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4347) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 91577) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-04-04 |