| NPI | 1609457431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25015) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 230794) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-06-02 |