| NPI | 1164012423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11015380) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28215500A) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-10-18 |