| NPI | 1154824951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024179609) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 14-125306-081) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2021-01-24 |