| NPI | 1952722514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18667) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 100922) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2022-02-10 |