| NPI | 1215588348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11005434) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9409715) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2024-05-18 |