| NPI | 1831363423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4182) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 153819) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2020-10-07 |