| NPI | 1891706776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0053014) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C01138) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 100802) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54629) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2014-04-16 |