| NPI | 1558841528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177238) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001244786) |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2019-03-03 |