| NPI | 1528733631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901724) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 33327) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2024-02-27 |