| NPI | 1295416899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11032895) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9433868) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-05-21 |