| NPI | 1487379830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901911) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R899110) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2024-06-03 |