| NPI | 1326673039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7024) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 138593) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2022-11-03 |