| NPI | 1033984109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11035886) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CA 95087466) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-12-17 |