| NPI | 1962693218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C02678) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR R28946) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2016-11-23 |