| NPI | 1932461001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024179829) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R208181) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2020-08-18 |