| NPI | 1477013142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 202104690CRNA-P) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 61573) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2021-10-19 |