| NPI | 1174859698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 28155) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000231808) |
| 163W00000X Registered Nurse (Licence: NY 619715) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 619715) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2024-04-30 |