| NPI | 1154057008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 223937) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018025989) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2023-07-03 |