| NPI | 1184247470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024179677) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN649435) |
| 363L00000X Nurse Practitioner (Licence: VA 0024179677) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2023-05-23 |