| NPI | 1154835718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10015551) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11001947) |
| 163W00000X Registered Nurse (Licence: FL 9310952) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP141245) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 244637) | |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2024-01-23 |