| NPI | 1063142016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 136916) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9379927) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 77793) | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2024-04-01 |