| NPI | 1134882897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 37962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000231205) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2025-01-22 |