| NPI | 1417604984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001273906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001273906) |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2023-10-03 |