| NPI | 1134756083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 226280) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MS 912087) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: LA RN154369) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2022-06-27 |