| NPI | 1215601703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R187364) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 00241182482) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2025-01-06 |