| NPI | 1972683456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003198) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 559935) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-07-10 |