| NPI | 1487112884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 56703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD rn-r228298) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2023-09-07 |