| NPI | 1043050487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61574360) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 148147) |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-08-29 |