| NPI | 1457606675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 24702) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 091161) |
| 163W00000X Registered Nurse (Licence: NC 240188) | |
| Enumeration Date | 2012-07-14 |
| Last Update Date | 2024-05-10 |