| NPI | 1497169130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5087) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 239842) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 104267) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2024-07-12 |