| NPI | 1548830474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 319770) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: UT 8903768-3102) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: CA 95152081) | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2025-04-02 |