| NPI | 1003528514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11023841) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 147010) |
| 163W00000X Registered Nurse (Licence: FL 9454708) | |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2023-01-23 |