| NPI | 1114347838 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19533) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 209140) | 
| Enumeration Date | 2014-04-21 | 
| Last Update Date | 2024-07-19 |