| NPI | 1275278038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704376759) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV 883062) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2024-10-19 |