| NPI | 1063023455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 230546) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN156655) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2023-06-06 |