| NPI | 1457985327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 242539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2017011992) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2021-03-05 |