| NPI | 1023646767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11013316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9435881) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2021-06-24 |