| NPI | 1942292701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 2974) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV CRNA000233) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO CRNA-183907) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2016-06-01 |