| NPI | 1891775011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024164710) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001173413) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2010-12-29 |