| NPI | 1801843008 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R077537)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VI 9834)  | 
| Enumeration Date | 2006-05-31 | 
| Last Update Date | 2013-05-24 |