| NPI | 1528606845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD 126450) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD r204141) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-02-21 |