| NPI | 1952401663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 514901-1) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 120454) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1959) | |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2013-07-03 |