| NPI | 1629746540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 3054) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MN 2460972) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2025-01-08 |