| NPI | 1174017719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 12.007652) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 10.095098) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 95098) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-06-16 |