| NPI | 1134636681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 231417) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 299553) |
| 163W00000X Registered Nurse (Licence: GA 231417) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 299553) | |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2023-07-11 |