| NPI | 1548921075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN792052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-105273) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: HI APRN-3605) | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2024-07-12 |