| NPI | 1619630290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R181652) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN9510852) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 146403) | |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2023-12-21 |