| NPI | 1962916221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R226579) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R226579) |
| Enumeration Date | 2017-11-24 |
| Last Update Date | 2018-03-17 |