| NPI | 1962514091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3275) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 3275) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-09-27 |