| NPI | 1912132325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC000696) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001194656) |
| 163W00000X Registered Nurse (Licence: MD AC000696) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2010-07-26 |