| NPI | 1265071658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6842) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 128770) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2022-04-08 |