| NPI | 1619607801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024190441) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 754312) |
| 163W00000X Registered Nurse (Licence: VA 0001309450) | |
| Enumeration Date | 2022-06-12 |
| Last Update Date | 2024-06-13 |