| NPI | 1093383648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25073) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 136121) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-07-14 |