| NPI | 1144891052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25059) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 214558) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 136168) | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2024-05-28 |