| NPI | 1487308219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4012330) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 32492) |
| 163W00000X Registered Nurse (Licence: TN 207134) | |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2024-07-26 |