| NPI | 1467058925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN771602) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 9416732) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11012605) | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2023-10-17 |