| NPI | 1104429489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 0001217070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9330173) |
| 163W00000X Registered Nurse (Licence: VA 0001217070) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024181116) | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2025-05-08 |