| NPI | 1073924825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101283) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 119753) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D119753) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2022-08-03 |