| NPI | 1912937103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C002615) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 2930) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-09-14 |