| NPI | 1356033542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11033108) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL N9515034) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2024-06-08 |