| NPI | 1336844000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN270825) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN270825) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4020865) | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-07-26 |