| NPI | 1285300194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 35430) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 242268) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AL 1-166645) | |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2024-01-08 |