| NPI | 1376211870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 28745) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN277986) |
| 163W00000X Registered Nurse (Licence: SC 276969) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-06-01 |