| NPI | 1013645100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 210147) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0126960) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-10-10 |