| NPI | 1164121828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0998700-CRNA) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO RN.1650622) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-06-13 |