| NPI | 1932209970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 45482) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 282956-L) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2023-04-26 |