| NPI | 1235873449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN593231) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 139305) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2023-09-29 |