| NPI | 1225737745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 143052) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 143052) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 73189) | |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-05-23 |