| NPI | 1861785610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172445) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 212086) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2017-08-17 |