| NPI | 1396246732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 24175999) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000969) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2023-09-06 |