| NPI | 1508405457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11005533) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9391308) |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2021-06-09 |