| NPI | 1356848006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 329235) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 604073) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2021-02-04 |