| NPI | 1043078660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-160166) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 148470) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-05-10 |