| NPI | 1629645023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024183489) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001270313) |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2022-01-20 |