| NPI | 1811972516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 969) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024083218) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC000279) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: DC RN59684) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-10-31 |