| NPI | 1629644760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 64256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R238161) |
| Enumeration Date | 2021-05-30 |
| Last Update Date | 2021-08-30 |