| NPI | 1053908004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 006540) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 134245) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2021-01-13 |