| NPI | 1053007062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 152134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9437514) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2024-02-10 |