| NPI | 1356051007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 115674) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 673499) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2023-02-14 |