| NPI | 1548939341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11031155) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 147156) |
| 163W00000X Registered Nurse (Licence: TN 241446) | |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2024-02-09 |