| NPI | 1093304735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 14678) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 236106) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 236106) | |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2024-05-22 |