| NPI | 1205508603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 31106) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000194482) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2022-04-19 |