| NPI | 1184260275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024190568) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN286337) |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2024-12-06 |