| NPI | 1629741889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101713) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 80179) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2022-07-06 |