| NPI | 1194473769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 75764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001242619) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2023-04-18 |