| NPI | 1831101195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP06725) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1283) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2012-02-01 |