| NPI | 1154959765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 10717) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9511006) |
| 207L00000X Anesthesiology (Licence: AZ 277039) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11019518) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 277039) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2022-08-31 |