| NPI | 1558997338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11017795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9295965) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2022-07-25 |