| NPI | 1558104174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 240876) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MT RN-72738) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-07-31 |