| NPI | 1275166928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11024358) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9367704) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2023-03-08 |