| NPI | 1619547056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 32612) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AL 1-142297) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2023-01-24 |