| NPI | 1396217139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 124312) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 289209) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2023-01-31 |