| NPI | 1922431402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201600590CRNA-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201391470RN) |
| 163W00000X Registered Nurse (Licence: OK 93889) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2018-07-11 |