| NPI | 1174194054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1108572) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: AL 1-108572) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2022-08-06 |