| NPI | 1073341905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4018989) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 216506) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-08-16 |