| NPI | 1326677121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11019638) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9300006) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2022-05-17 |