| NPI | 1891020103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 259638) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 071631) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2018-02-19 |