| NPI | 1255740551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 005134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1017953) |
| 163W00000X Registered Nurse (Licence: VA 0001195531) | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2022-12-23 |