| NPI | 1558058792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 152098) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9468022) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-01-08 |