| NPI | 1487342234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 27460) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: SC 248960) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: OH 426743) | |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2024-04-30 |