| NPI | 1598384505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 259918) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 110626) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2022-03-02 |