| NPI | 1114390184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20224) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC L213905) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2022-01-19 |