| NPI | 1013255405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18371) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 105916) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2022-03-01 |