| NPI | 1053930263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024167679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9436644) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2024-01-23 |