| NPI | 1538772751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 61367) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM 61367) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 302653) | |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2021-11-08 |