| NPI | 1598432304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7534) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN723530) |
| 163W00000X Registered Nurse (Licence: PA RN720530) | |
| Enumeration Date | 2021-08-28 |
| Last Update Date | 2024-10-22 |