| NPI | 1184994428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR001202) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001224490) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 87800) | |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2025-03-25 |