| NPI | 1457818742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN250569) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9476648) |
| 163W00000X Registered Nurse (Licence: GA RN250569) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 122031) | |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2021-12-20 |