| NPI | 1558730390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5269) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 236911) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2024-12-24 |