| NPI | 1114541240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 28393) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000188883) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-10-21 |