| NPI | 1518586965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 10198-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 200443-30) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2021-12-01 |