| NPI | 1528685229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R230691) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD 127519) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-08-07 |