| NPI | 1942571179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0992635) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO RN-166869) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2016-10-25 |